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Removal of airway foreign body using flexible bronchoscopy in children

Sabrine Louhaichi1, Nouha Boubaker1, Besma Hamdi1

  • 1Department of Pulmonology, B. Abderrahmen Mami Hospital, Ariana, Tunisia.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|April 18, 2024
PubMed

Insights

Flexible bronchoscopy successfully removed airway foreign bodies (AFBs) in 94.3% of pediatric cases. This safe and efficient procedure, especially with laryngeal mask airway (LMA) use, offers a viable alternative for AFB extraction in children.

Area of Science:

  • Pediatric Pulmonology
  • Interventional Pulmonology
  • Pediatric Anesthesia

Background:

  • Flexible bronchoscopy is a primary diagnostic tool for airway foreign bodies (AFBs).
  • Advances in pediatric anesthesia enable consideration of flexible bronchoscopy for AFB extraction.
  • The study evaluates the efficacy of flexible bronchoscopy in pediatric AFB removal.

Purpose of the Study:

  • To assess the success rate of flexible bronchoscopy in removing airway foreign bodies in children.
  • To compare outcomes of flexible bronchoscopy with and without laryngeal mask airway (LMA).

Main Methods:

  • Retrospective analysis of 105 children with AFB aspiration from 2012-2022.
  • AFB removal via flexible bronchoscopy using laryngeal mask airway (LMA) or intubation.
  • Data collected on patient demographics, foreign body type, and procedural outcomes.

Main Results:

  • Flexible bronchoscopy achieved a 94.3% success rate in AFB removal (99/105 children).
  • Organic foreign bodies were most common (67%).
  • LMA facilitated flexible bronchoscopy in 73% of cases, with low complication rates (e.g., transient oxygen desaturation).

Conclusions:

  • Flexible bronchoscope use for AFB removal is efficient and safe in experienced pediatric teams.
  • LMA integration enhances flexible bronchoscopy, allowing larger scopes and distal tool insertion.
  • This technique provides a minimally invasive option for pediatric airway foreign body management.
Abstract

Keywords:
Airway foreign bodyChildrenFlexible bronchoscopy

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